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General NPI Number Information
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NPI Number | 1306252127
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Entity Type | Individual
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Provider Name | RYAN LINGYU DONG PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 7495 W 29TH AVE PHARMACY
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-8002
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Country | US
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Telephone | 720-473-7212
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Fax | 720-262-5968
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Provider Business Mailing Address
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Address Line | 7495 W 29TH AVE
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-8002
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Country | US
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Telephone | 720-473-7212
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Fax | 720-262-5968
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2014021085
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0022107
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License Number State | CO
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